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An Evaluation of Potential Next-day Residual Effects of Eszopiclone in Healthy Volunteers.

A Randomised, Double-blind, Double-dummy, Placebo-controlled, 3-way Crossover Study to Evaluate Potential Next-day Residual Effects of a Single Evening Dose of 3mg Eszopiclone and 7.5mg Zopiclone in Healthy Adult Subjects.

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00699608
Enrollment
91
Registered
2008-06-18
Start date
2008-07-31
Completion date
2008-10-31
Last updated
2012-06-05

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Healthy Subjects, Sleep Initiation and Maintenance Disorders

Keywords

Zopiclone, Hypnotic, Residual effects, Eszopiclone

Brief summary

This study will explore potential next-day residual effects of a single evening dose of 3mg of the hypnotic, eszopiclone, 7.5mg of zopiclone, and placebo, in healthy adult subjects.

Interventions

DRUGGSK1755165; placebo; zopiclone

Subjects receive either 3mg GSK1755165, matching placebo or 7.5mg zopiclone

Sponsors

GlaxoSmithKline
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)

Eligibility

Sex/Gender
ALL
Age
25 Years to 40 Years
Healthy volunteers
Yes

Inclusion criteria

* Healthy male and female subjects providing written informed consent.

Exclusion criteria

* Significant medical disorders; * Sleeping difficulties; alcohol and/or substance abuse; * Recent use of psychotropic medications, or need to use them during study; * Very high BMI or very low BMI or bodyweight; * Known hypersensitivity to the study medications or their excipients; * Unwilling or unable to meet certain lifestyle or dietary restrictions during the study.

Design outcomes

Primary

MeasureTime frameDescription
Mean Tracking Error Assessed During the Continuous Tracking Test (CTT)7.5, 8, 8.5, 9, and 9.5 hours post-dose (double-blind)Analysis was performed on the mean of the five assessments conducted 7.5, 8, 8.5, 9, and 9.5 hours post-dose (double-blind) The CTT is a task (duration of 8 minutes) of psychomotor function that entails using a slider to keep a cursor in alignment with a moving target on a visual display unit screen. The movement of the target is the function of an irregular sine wave, and cursor accuracy is measured by the mean tracking error - the difference between the centers of target and cursor in pixels, sampled 5 times per second, over the test. Lower scores are indicative of more accurate tracking.

Secondary

MeasureTime frameDescription
CTT Mean Reaction Time7.5, 8, 8.5, 9, 9.5, 10, 10.5, 11, and 11.5 hours post-dose (double-blind)Analysis was performed on the individual assessments conducted at 7.5, 8, 8.5, 9, 9.5, 10, 10.5, 11, and 11.5 hours post-dose (double-blind) A further outcome derived from the CTT is a peripheral awareness task where the participant responds to a stimulus presented in the periphery of vision, while simultaneously attending to the tracking test. The mean reaction time, in milliseconds, to these stimuli over the trial period is taken as the response measure for this component of the divided attention task. A lower mean reaction time is indicative of better peripheral awareness.
Critical Flicker Fusion Test-Ascending Threshold7.5, 8, 8.5, 9, 9.5, 10, 10.5, 11, and 11.5 hours post-dose (double-blind)Critical Flicker Fusion (CFF) is a validated cognitive assessment task that provides an index of central nervous system (CNS) activity and attention modulated motion detection. Participants are required to discriminate flicker from fusion, and vice versa, in a set of four light-emitting diodes arranged in a one-centimetre square. These diodes are held in foveal fixation when viewed at a distance of one metre. Individual thresholds are determined on four ascending and four descending scales. The mean of the four ascending presentations give the ascending threshold frequency in hertz.
Critical Flicker Fusion Test -Descending Threshold7.5, 8, 8.5, 9, 9.5, 10, 10.5, 11, and 11.5 hours post-dose (double-blind)Analysis was performed on the individual assessments conducted at 7.5, 8, 8.5, 9, 9.5, 10, 10.5, 11, and 11.5 hours post-dose (double-blind) The mean of the four descending presentations from the CFF give the descending threshold frequency in hertz.
Critical Flicker Fusion Test-Overall Threshold7.5, 8, 8.5, 9, 9.5, 10, 10.5, 11, and 11.5 hours post-dose (double-blind)Analysis was performed on the individual assessments conducted at 7.5, 8, 8.5, 9, 9.5, 10, 10.5, 11, and 11.5 hours post-dose (double-blind) The mean of the four ascending and four descending presentations of the CFF give the overall threshold frequency in hertz.
Total Number of Attempted Symbol Substitutions, as Assessed by the Digit Symbol Substitution Test7.5, 8, 8.5, 9, 9.5, 10, 10.5, 11, and 11.5 hours post-dose (double-blind)Analysis was performed on the individual assessments conducted at 7.5, 8, 8.5, 9, 9.5, 10, 10.5, 11, and 11.5 hours post-dose (double-blind). The Digit Symbol Substitution Test (DSST) is a pen and paper test that consists of rows of blank squares paired with randomly assigned digits (between 0 and 9). Participants are required to substitute each digit with a different nonsense symbol, according to a key printed at the top of the sheet that indicates the nonsense symbol that corresponds to each digit. Participants are given 120 seconds in which to complete the test.
Total Number of Correct Symbol Substitutions, as Assessed by the Digital Symbol Substitution Test7.5, 8, 8.5, 9, 9.5, 10, 10.5, 11, and 11.5 hours post-dose (double-blind)Analysis was performed on the individual assessments conducted at 7.5, 8, 8.5, 9, 9.5, 10, 10.5, 11, and 11.5 hours post-dose (double-blind). The Digit Symbol Substitution Test (DSST) is a pen and paper test that consists of rows of blank squares paired with randomly assigned digits (between 0 and 9). Participants are required to substitute each digit with a different nonsense symbol, according to a key printed at the top of the sheet that indicates the nonsense symbol that corresponds to each digit. Participants are given 120 seconds in which to complete the test.
Mean Tracking Error (MTE) Assessed During the CTT7.5, 8, 8.5, 9, 9.5, 10, 10.5, 11, and 11.5 hours post-dose (double-blind)Analysis was performed on the individual assessments conducted at 7.5, 8, 8.5, 9, 9.5, 10, 10.5, 11, and 11.5 hours post-dose (double-blind) . The CTT is a task (8 minute duration) of psychomotor function that entails using a slider to keep a cursor in alignment with a moving target on a visual display unit screen. The movement of the target is the function of an irregular sine wave, and cursor accuracy is measured by the MTE, the difference between the centers of target and cursor in pixels, sampled 5 times per second, over the test. Lower scores are indicative of more accurate tracking.
3-Back Percentage of Correct Responses7.5, 8, 8.5, 9, 9.5, 10, 10.5, 11, and 11.5 hours post-dose (double-blind)Analysis was performed on the individual assessments conducted at 7.5, 8, 8.5, 9, 9.5, 10, 10.5, 11, and 11.5 hours post-dose (double-blind). In 3-back tasks, a comparison is made between the current stimulus and the two before the immediately preceding stimulus. In the versions of the tests used in this study, the stimuli are presented on screen for 500 ms, and the interval between stimuli is 2500 ms, with a ratio of 1:2 of match trials to non-match trials. The duration of the test is 2 min. The percentage of correct responses is the percentage of correct responses given in 2 min.
1-Back Reaction Time7.5, 8, 8.5, 9, 9.5, 10, 10.5, 11, and 11.5 hours post-dose (double-blind)Analysis was performed on the individual assessments conducted at 7.5, 8, 8.5, 9, 9.5, 10, 10.5, 11, and 11.5 hours post-dose (double-blind). Reaction time is the time taken to respond to a stimulus.
3-Back Reaction Time7.5, 8, 8.5, 9, 9.5, 10, 10.5, 11, and 11.5 hours post-dose (double-blind)Analysis was performed on the individual assessments conducted at 7.5, 8, 8.5, 9, 9.5, 10, 10.5, 11, and 11.5 hours post-dose (double-blind). Reaction time is the time taken to respond to a stimulus.
Sedation Score, as Assessed by the Linear Analogue Rating Scales7.5, 8, 8.5, 9, 9.5, 10, 10.5, 11, and 11.5 hours post-dose (double-blind)The Linear Analogue Rating Scale (LARS) is used as a measure of the subjective effects of psychoactive drugs. Participants mark a series of 10 cm (100 unit line) analogue scales (1-100, 100 = most impaired) relating to dizzy, clumsy, anxious, relaxed, tired, drowsy, alert, energetic, sad, and depressed, indicating their present feeling with regard to a mid-point, representing their usual state of mind before treatment began. The higher the score, the more impaired the participant feels. The Tiredness, Alertness, Energy, and Drowsiness scores are averaged to derive an overall Sedation score.
Mood Score, as Assessed by the Linear Analogue Rating Scales7.5, 8, 8.5, 9, 9.5, 10, 10.5, 11, and 11.5 hours post-dose (double-blind)Analysis was performed on the individual assessments conducted at 7.5, 8, 8.5, 9, 9.5, 10, 10.5, 11, and 11.5 hours post-dose (double-blind). The Anxiety, Depression, Relaxed, and Sadness scores are averaged to derive an overall Mood score (as described in Outcome Measure 14). Each item was assessed on a 1-100 point scale, where 100 indicates most impaired.
Coordination Score, as Assessed by the Linear Analogue Rating Scales7.5, 8, 8.5, 9, 9.5, 10, 10.5, 11, and 11.5 hours post-dose (double-blind)Analysis was performed on the individual assessments conducted at 7.5, 8, 8.5, 9, 9.5, 10, 10.5, 11, and 11.5 hours post-dose (double-blind). The Dizziness and Clumsiness scores are averaged to derive an overall Coordination score (as described in Outcome Measure 14). Each item was assessed on a 1-100 point scale, where 100 indicates most impaired.
1-Back Percentage of Correct Responses7.5, 8, 8.5, 9, 9.5, 10, 10.5, 11, and 11.5 hours post-dose (double-blind)The N-Back task requires the participant to indicate, using the mouse, whether the current stimulus presented on the screen and the one immediately before it visually match (i.e., one-back). In the versions of the tests used in this study, the stimuli are presented on screen for 500 ms, and the interval between stimuli is 2500 ms, with a ratio of 1:2 of match trials to non-match trials. The duration of the test is 2 minutes. The percentage of correct responses is the percentage of correct responses given in 2 minutes.

Countries

United Kingdom

Participant flow

Participants by arm

ArmCount
Entire Study Population91
Total91

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004FG005
First InterventionProtocol Violation000010
First InterventionWithdrawal by Subject001000
Second InterventionAdverse Event001000
Second InterventionWithdrawal by Subject000100

Baseline characteristics

CharacteristicEntire Study Population
Age Continuous29.8 years
STANDARD_DEVIATION 3.87
Race/Ethnicity, Customized
African American/African Heritage
14 participants
Race/Ethnicity, Customized
Asian-Central/South Asian Heritage
6 participants
Race/Ethnicity, Customized
Asian-East Asian Heritage
3 participants
Race/Ethnicity, Customized
Asian-South East Asian Heritage
5 participants
Race/Ethnicity, Customized
White
63 participants
Sex: Female, Male
Female
46 Participants
Sex: Female, Male
Male
45 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —
other
Total, other adverse events
12 / 8944 / 8844 / 90
serious
Total, serious adverse events
0 / 890 / 880 / 90

Outcome results

Primary

Mean Tracking Error Assessed During the Continuous Tracking Test (CTT)

Analysis was performed on the mean of the five assessments conducted 7.5, 8, 8.5, 9, and 9.5 hours post-dose (double-blind) The CTT is a task (duration of 8 minutes) of psychomotor function that entails using a slider to keep a cursor in alignment with a moving target on a visual display unit screen. The movement of the target is the function of an irregular sine wave, and cursor accuracy is measured by the mean tracking error - the difference between the centers of target and cursor in pixels, sampled 5 times per second, over the test. Lower scores are indicative of more accurate tracking.

Time frame: 7.5, 8, 8.5, 9, and 9.5 hours post-dose (double-blind)

Population: Intent-to-Treat (ITT) Population: all subjects who gave informed consent, were randomised, and received at least one dose of double-blind medication. Only participants who had assessment of the measure the day after double-blind treatment were analyzed.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboMean Tracking Error Assessed During the Continuous Tracking Test (CTT)10.29 pixelsStandard Error 0.625
EszopicloneMean Tracking Error Assessed During the Continuous Tracking Test (CTT)12.49 pixelsStandard Error 0.634
ZopicloneMean Tracking Error Assessed During the Continuous Tracking Test (CTT)13.48 pixelsStandard Error 0.621
p-value: 0.26795% CI: [-2.74, 0.76]ANCOVA
Secondary

1-Back Percentage of Correct Responses

The N-Back task requires the participant to indicate, using the mouse, whether the current stimulus presented on the screen and the one immediately before it visually match (i.e., one-back). In the versions of the tests used in this study, the stimuli are presented on screen for 500 ms, and the interval between stimuli is 2500 ms, with a ratio of 1:2 of match trials to non-match trials. The duration of the test is 2 minutes. The percentage of correct responses is the percentage of correct responses given in 2 minutes.

Time frame: 7.5, 8, 8.5, 9, 9.5, 10, 10.5, 11, and 11.5 hours post-dose (double-blind)

Population: Intent-to-Treat (ITT) Population: all participants who gave informed consent, were randomised, and received at least one dose of double-blind study medication. Only participants who had assessment of the measure the day after double-blind treatment were analyzed.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
Placebo1-Back Percentage of Correct Responses9 hours post-dose, n=89, 87, 9093.5 percentage of responsesStandard Error 1.07
Placebo1-Back Percentage of Correct Responses11.5 hours post-dose, n=89, 87, 9093.4 percentage of responsesStandard Error 0.92
Placebo1-Back Percentage of Correct Responses10 hours post-dose, n=89, 87, 9093.0 percentage of responsesStandard Error 0.9
Placebo1-Back Percentage of Correct Responses9.5 hours post-dose, n=89, 86, 9092.9 percentage of responsesStandard Error 1.02
Placebo1-Back Percentage of Correct Responses7.5 hours post-dose, n=87, 87, 8893.9 percentage of responsesStandard Error 0.95
Placebo1-Back Percentage of Correct Responses11 hours post-dose, n=89, 87, 9093.0 percentage of responsesStandard Error 0.92
Placebo1-Back Percentage of Correct Responses8.5 hours post-dose, n=89, 87, 9093.6 percentage of responsesStandard Error 1.05
Placebo1-Back Percentage of Correct Responses8 hours post-dose, n=89, 87, 8993.3 percentage of responsesStandard Error 0.97
Placebo1-Back Percentage of Correct Responses10.5 hours post-dose, n=89, 86, 8994.4 percentage of responsesStandard Error 0.94
Eszopiclone1-Back Percentage of Correct Responses9.5 hours post-dose, n=89, 86, 9091.2 percentage of responsesStandard Error 1.02
Eszopiclone1-Back Percentage of Correct Responses7.5 hours post-dose, n=87, 87, 8892.2 percentage of responsesStandard Error 0.96
Eszopiclone1-Back Percentage of Correct Responses8 hours post-dose, n=89, 87, 8992.0 percentage of responsesStandard Error 0.98
Eszopiclone1-Back Percentage of Correct Responses8.5 hours post-dose, n=89, 87, 9092.8 percentage of responsesStandard Error 1.06
Eszopiclone1-Back Percentage of Correct Responses9 hours post-dose, n=89, 87, 9091.6 percentage of responsesStandard Error 1.08
Eszopiclone1-Back Percentage of Correct Responses10 hours post-dose, n=89, 87, 9092.2 percentage of responsesStandard Error 0.91
Eszopiclone1-Back Percentage of Correct Responses10.5 hours post-dose, n=89, 86, 8992.0 percentage of responsesStandard Error 0.95
Eszopiclone1-Back Percentage of Correct Responses11 hours post-dose, n=89, 87, 9092.6 percentage of responsesStandard Error 0.93
Eszopiclone1-Back Percentage of Correct Responses11.5 hours post-dose, n=89, 87, 9094.0 percentage of responsesStandard Error 0.92
Zopiclone1-Back Percentage of Correct Responses8.5 hours post-dose, n=89, 87, 9089.6 percentage of responsesStandard Error 1.05
Zopiclone1-Back Percentage of Correct Responses7.5 hours post-dose, n=87, 87, 8890.4 percentage of responsesStandard Error 0.95
Zopiclone1-Back Percentage of Correct Responses10.5 hours post-dose, n=89, 86, 8991.7 percentage of responsesStandard Error 0.94
Zopiclone1-Back Percentage of Correct Responses8 hours post-dose, n=89, 87, 8989.5 percentage of responsesStandard Error 0.97
Zopiclone1-Back Percentage of Correct Responses11.5 hours post-dose, n=89, 87, 9092.0 percentage of responsesStandard Error 0.91
Zopiclone1-Back Percentage of Correct Responses9.5 hours post-dose, n=89, 86, 9090.7 percentage of responsesStandard Error 1.01
Zopiclone1-Back Percentage of Correct Responses9 hours post-dose, n=89, 87, 9089.4 percentage of responsesStandard Error 1.07
Zopiclone1-Back Percentage of Correct Responses11 hours post-dose, n=89, 87, 9091.9 percentage of responsesStandard Error 0.92
Zopiclone1-Back Percentage of Correct Responses10 hours post-dose, n=89, 87, 9092.0 percentage of responsesStandard Error 0.9
Secondary

1-Back Reaction Time

Analysis was performed on the individual assessments conducted at 7.5, 8, 8.5, 9, 9.5, 10, 10.5, 11, and 11.5 hours post-dose (double-blind). Reaction time is the time taken to respond to a stimulus.

Time frame: 7.5, 8, 8.5, 9, 9.5, 10, 10.5, 11, and 11.5 hours post-dose (double-blind)

Population: Intent-to-Treat (ITT) Population: all participants who gave informed consent, were randomised, and received at least one dose of double-blind study medication. Only participants who had assessment of the measure the day after double-blind treatment were analyzed.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
Placebo1-Back Reaction Time9 hours post-dose, n=89, 87, 90734.8 millisecondsStandard Error 16.58
Placebo1-Back Reaction Time11.5 hours post-dose, n=89, 87, 90709.3 millisecondsStandard Error 16.83
Placebo1-Back Reaction Time10 hours post-dose, n=89, 87, 90724.7 millisecondsStandard Error 16.39
Placebo1-Back Reaction Time9.5 hours post-dose, n=89, 86, 90729.0 millisecondsStandard Error 16.84
Placebo1-Back Reaction Time7.5 hours post-dose, n=87, 87, 88755.9 millisecondsStandard Error 17.81
Placebo1-Back Reaction Time11 hours post-dose, n=89, 87, 90718.5 millisecondsStandard Error 16.26
Placebo1-Back Reaction Time8.5 hours post-dose, n=89, 87, 90741.1 millisecondsStandard Error 17.09
Placebo1-Back Reaction Time8 hours post-dose, n=89, 87, 89752.7 millisecondsStandard Error 16.89
Placebo1-Back Reaction Time10.5 hours post-dose, n=89, 86, 89713.2 millisecondsStandard Error 15.81
Eszopiclone1-Back Reaction Time9.5 hours post-dose, n=89, 86, 90757.2 millisecondsStandard Error 16.98
Eszopiclone1-Back Reaction Time7.5 hours post-dose, n=87, 87, 88819.3 millisecondsStandard Error 17.85
Eszopiclone1-Back Reaction Time8 hours post-dose, n=89, 87, 89783.7 millisecondsStandard Error 16.99
Eszopiclone1-Back Reaction Time8.5 hours post-dose, n=89, 87, 90776.1 millisecondsStandard Error 17.18
Eszopiclone1-Back Reaction Time9 hours post-dose, n=89, 87, 90784.5 millisecondsStandard Error 16.68
Eszopiclone1-Back Reaction Time10 hours post-dose, n=89, 87, 90760.8 millisecondsStandard Error 16.48
Eszopiclone1-Back Reaction Time10.5 hours post-dose, n=89, 86, 89735.2 millisecondsStandard Error 15.92
Eszopiclone1-Back Reaction Time11 hours post-dose, n=89, 87, 90716.9 millisecondsStandard Error 16.33
Eszopiclone1-Back Reaction Time11.5 hours post-dose, n=89, 87, 90716.7 millisecondsStandard Error 16.92
Zopiclone1-Back Reaction Time8.5 hours post-dose, n=89, 87, 90778.7 millisecondsStandard Error 17.04
Zopiclone1-Back Reaction Time7.5 hours post-dose, n=87, 87, 88840.3 millisecondsStandard Error 17.75
Zopiclone1-Back Reaction Time10.5 hours post-dose, n=89, 86, 89750.7 millisecondsStandard Error 15.8
Zopiclone1-Back Reaction Time8 hours post-dose, n=89, 87, 89805.8 millisecondsStandard Error 16.87
Zopiclone1-Back Reaction Time11.5 hours post-dose, n=89, 87, 90720.5 millisecondsStandard Error 16.78
Zopiclone1-Back Reaction Time9.5 hours post-dose, n=89, 86, 90784.0 millisecondsStandard Error 16.8
Zopiclone1-Back Reaction Time9 hours post-dose, n=89, 87, 90791.1 millisecondsStandard Error 16.58
Zopiclone1-Back Reaction Time11 hours post-dose, n=89, 87, 90741.7 millisecondsStandard Error 16.22
Zopiclone1-Back Reaction Time10 hours post-dose, n=89, 87, 90759.5 millisecondsStandard Error 16.34
Secondary

3-Back Percentage of Correct Responses

Analysis was performed on the individual assessments conducted at 7.5, 8, 8.5, 9, 9.5, 10, 10.5, 11, and 11.5 hours post-dose (double-blind). In 3-back tasks, a comparison is made between the current stimulus and the two before the immediately preceding stimulus. In the versions of the tests used in this study, the stimuli are presented on screen for 500 ms, and the interval between stimuli is 2500 ms, with a ratio of 1:2 of match trials to non-match trials. The duration of the test is 2 min. The percentage of correct responses is the percentage of correct responses given in 2 min.

Time frame: 7.5, 8, 8.5, 9, 9.5, 10, 10.5, 11, and 11.5 hours post-dose (double-blind)

Population: Intent-to-Treat (ITT) Population: all participants who gave informed consent, were randomised, and received at least one dose of double-blind study medication. Only participants who had assessment of the measure the day after double-blind treatment were analyzed.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
Placebo3-Back Percentage of Correct Responses7.5 hours post-dose, n=87, 87, 8884.6 percentage of responsesStandard Error 1.4
Placebo3-Back Percentage of Correct Responses8 hours post-dose, n=89, 87, 8983.5 percentage of responsesStandard Error 1.55
Placebo3-Back Percentage of Correct Responses8.5 hours post-dose, n=89, 87, 9082.4 percentage of responsesStandard Error 1.56
Placebo3-Back Percentage of Correct Responses9 hours post-dose, n=89, 87, 9083.3 percentage of responsesStandard Error 1.61
Placebo3-Back Percentage of Correct Responses9.5 hours post-dose, n=89, 86, 9082.1 percentage of responsesStandard Error 1.6
Placebo3-Back Percentage of Correct Responses10 hours post-dose, n=89, 87, 9083.4 percentage of responsesStandard Error 1.53
Placebo3-Back Percentage of Correct Responses10.5 hours post-dose, n=89, 86, 8982.6 percentage of responsesStandard Error 1.5
Placebo3-Back Percentage of Correct Responses11 hours post-dose, n=89, 87, 9081.7 percentage of responsesStandard Error 1.44
Placebo3-Back Percentage of Correct Responses11.5 hours post-dose, n=89, 87, 9082.9 percentage of responsesStandard Error 1.4
Eszopiclone3-Back Percentage of Correct Responses11 hours post-dose, n=89, 87, 9083.2 percentage of responsesStandard Error 1.45
Eszopiclone3-Back Percentage of Correct Responses8.5 hours post-dose, n=89, 87, 9081.1 percentage of responsesStandard Error 1.57
Eszopiclone3-Back Percentage of Correct Responses9.5 hours post-dose, n=89, 86, 9080.2 percentage of responsesStandard Error 1.61
Eszopiclone3-Back Percentage of Correct Responses7.5 hours post-dose, n=87, 87, 8880.4 percentage of responsesStandard Error 1.41
Eszopiclone3-Back Percentage of Correct Responses9 hours post-dose, n=89, 87, 9078.9 percentage of responsesStandard Error 1.62
Eszopiclone3-Back Percentage of Correct Responses10.5 hours post-dose, n=89, 86, 8981.3 percentage of responsesStandard Error 1.51
Eszopiclone3-Back Percentage of Correct Responses8 hours post-dose, n=89, 87, 8982.3 percentage of responsesStandard Error 1.56
Eszopiclone3-Back Percentage of Correct Responses10 hours post-dose, n=89, 87, 9082.0 percentage of responsesStandard Error 1.54
Eszopiclone3-Back Percentage of Correct Responses11.5 hours post-dose, n=89, 87, 9083.6 percentage of responsesStandard Error 1.41
Zopiclone3-Back Percentage of Correct Responses10.5 hours post-dose, n=89, 86, 8979.7 percentage of responsesStandard Error 1.5
Zopiclone3-Back Percentage of Correct Responses9 hours post-dose, n=89, 87, 9077.3 percentage of responsesStandard Error 1.6
Zopiclone3-Back Percentage of Correct Responses11 hours post-dose, n=89, 87, 9079.8 percentage of responsesStandard Error 1.44
Zopiclone3-Back Percentage of Correct Responses10 hours post-dose, n=89, 87, 9079.2 percentage of responsesStandard Error 1.52
Zopiclone3-Back Percentage of Correct Responses11.5 hours post-dose, n=89, 87, 9081.1 percentage of responsesStandard Error 1.39
Zopiclone3-Back Percentage of Correct Responses9.5 hours post-dose, n=89, 86, 9076.9 percentage of responsesStandard Error 1.59
Zopiclone3-Back Percentage of Correct Responses7.5 hours post-dose, n=87, 87, 8876.9 percentage of responsesStandard Error 1.4
Zopiclone3-Back Percentage of Correct Responses8 hours post-dose, n=89, 87, 8976.8 percentage of responsesStandard Error 1.55
Zopiclone3-Back Percentage of Correct Responses8.5 hours post-dose, n=89, 87, 9078.3 percentage of responsesStandard Error 1.55
Secondary

3-Back Reaction Time

Analysis was performed on the individual assessments conducted at 7.5, 8, 8.5, 9, 9.5, 10, 10.5, 11, and 11.5 hours post-dose (double-blind). Reaction time is the time taken to respond to a stimulus.

Time frame: 7.5, 8, 8.5, 9, 9.5, 10, 10.5, 11, and 11.5 hours post-dose (double-blind)

Population: Intent-to-Treat (ITT) Population: all participants who gave informed consent, were randomised, and received at least one dose of double-blind study medication. Only participants who had assessment of the measure the day after double-blind treatment were analyzed.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
Placebo3-Back Reaction Time9 hours post-dose, n=89, 87, 90916.9 millisecondsStandard Error 21.5
Placebo3-Back Reaction Time11.5 hours post-dose, n=89, 87, 90876.2 millisecondsStandard Error 20.49
Placebo3-Back Reaction Time10 hours post-dose, n=89, 87, 90907.4 millisecondsStandard Error 21.26
Placebo3-Back Reaction Time9.5 hours post-dose, n=89, 86, 90932.9 millisecondsStandard Error 21.86
Placebo3-Back Reaction Time7.5 hours post-dose, n=87, 87, 88959.5 millisecondsStandard Error 20.87
Placebo3-Back Reaction Time11 hours post-dose, n=89, 87, 90915.3 millisecondsStandard Error 19.61
Placebo3-Back Reaction Time8.5 hours post-dose, n=89, 87, 90925.9 millisecondsStandard Error 21.37
Placebo3-Back Reaction Time8 hours post-dose, n=89, 87, 89960.0 millisecondsStandard Error 21.56
Placebo3-Back Reaction Time10.5 hours post-dose, n=89, 86, 89900.3 millisecondsStandard Error 20.92
Eszopiclone3-Back Reaction Time9.5 hours post-dose, n=89, 86, 90992.1 millisecondsStandard Error 22.05
Eszopiclone3-Back Reaction Time7.5 hours post-dose, n=87, 87, 881020.9 millisecondsStandard Error 20.87
Eszopiclone3-Back Reaction Time8 hours post-dose, n=89, 87, 891018.5 millisecondsStandard Error 21.62
Eszopiclone3-Back Reaction Time8.5 hours post-dose, n=89, 87, 90997.7 millisecondsStandard Error 21.49
Eszopiclone3-Back Reaction Time9 hours post-dose, n=89, 87, 901002.2 millisecondsStandard Error 21.61
Eszopiclone3-Back Reaction Time10 hours post-dose, n=89, 87, 90948.7 millisecondsStandard Error 21.36
Eszopiclone3-Back Reaction Time10.5 hours post-dose, n=89, 86, 89961.5 millisecondsStandard Error 21.08
Eszopiclone3-Back Reaction Time11 hours post-dose, n=89, 87, 90935.5 millisecondsStandard Error 19.7
Eszopiclone3-Back Reaction Time11.5 hours post-dose, n=89, 87, 90903.2 millisecondsStandard Error 20.58
Zopiclone3-Back Reaction Time8.5 hours post-dose, n=89, 87, 901024.2 millisecondsStandard Error 21.33
Zopiclone3-Back Reaction Time7.5 hours post-dose, n=87, 87, 881076.4 millisecondsStandard Error 20.79
Zopiclone3-Back Reaction Time10.5 hours post-dose, n=89, 86, 89945.2 millisecondsStandard Error 20.89
Zopiclone3-Back Reaction Time8 hours post-dose, n=89, 87, 891042.2 millisecondsStandard Error 21.53
Zopiclone3-Back Reaction Time11.5 hours post-dose, n=89, 87, 90934.7 millisecondsStandard Error 20.39
Zopiclone3-Back Reaction Time9.5 hours post-dose, n=89, 86, 90978.0 millisecondsStandard Error 21.81
Zopiclone3-Back Reaction Time9 hours post-dose, n=89, 87, 901007.8 millisecondsStandard Error 21.46
Zopiclone3-Back Reaction Time11 hours post-dose, n=89, 87, 90940.4 millisecondsStandard Error 19.54
Zopiclone3-Back Reaction Time10 hours post-dose, n=89, 87, 90987.5 millisecondsStandard Error 21.19
Secondary

Coordination Score, as Assessed by the Linear Analogue Rating Scales

Analysis was performed on the individual assessments conducted at 7.5, 8, 8.5, 9, 9.5, 10, 10.5, 11, and 11.5 hours post-dose (double-blind). The Dizziness and Clumsiness scores are averaged to derive an overall Coordination score (as described in Outcome Measure 14). Each item was assessed on a 1-100 point scale, where 100 indicates most impaired.

Time frame: 7.5, 8, 8.5, 9, 9.5, 10, 10.5, 11, and 11.5 hours post-dose (double-blind)

Population: Intent-to-Treat (ITT) Population: all participants who gave informed consent, were randomised, and received at least one dose of double-blind study medication. Only participants who had assessment of the measure the day after double-blind treatment were analyzed.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboCoordination Score, as Assessed by the Linear Analogue Rating Scales10.5 hours post-dose, n=89, 87, 9048.60 points on a scaleStandard Error 0.86
PlaceboCoordination Score, as Assessed by the Linear Analogue Rating Scales9 hours post-dose, n=89, 87, 9049.68 points on a scaleStandard Error 0.94
PlaceboCoordination Score, as Assessed by the Linear Analogue Rating Scales8 hours post-dose, n=89, 87, 9050.03 points on a scaleStandard Error 0.92
PlaceboCoordination Score, as Assessed by the Linear Analogue Rating Scales10 hours post-dose, n=89, 87, 9049.37 points on a scaleStandard Error 0.96
PlaceboCoordination Score, as Assessed by the Linear Analogue Rating Scales9.5 hours post-dose, n=89, 87, 9049.08 points on a scaleStandard Error 0.97
PlaceboCoordination Score, as Assessed by the Linear Analogue Rating Scales7.5 hours post-dose, n=89, 87, 9049.09 points on a scaleStandard Error 1.13
PlaceboCoordination Score, as Assessed by the Linear Analogue Rating Scales11 hours post-dose, n=89, 87, 9048.97 points on a scaleStandard Error 0.83
PlaceboCoordination Score, as Assessed by the Linear Analogue Rating Scales8.5 hours post-dose, n=89, 87, 9049.23 points on a scaleStandard Error 0.86
PlaceboCoordination Score, as Assessed by the Linear Analogue Rating Scales11.5 hours post-dose, n=89, 87, 9048.20 points on a scaleStandard Error 0.82
EszopicloneCoordination Score, as Assessed by the Linear Analogue Rating Scales11 hours post-dose, n=89, 87, 9048.51 points on a scaleStandard Error 0.84
EszopicloneCoordination Score, as Assessed by the Linear Analogue Rating Scales7.5 hours post-dose, n=89, 87, 9050.33 points on a scaleStandard Error 1.15
EszopicloneCoordination Score, as Assessed by the Linear Analogue Rating Scales8 hours post-dose, n=89, 87, 9051.21 points on a scaleStandard Error 0.93
EszopicloneCoordination Score, as Assessed by the Linear Analogue Rating Scales8.5 hours post-dose, n=89, 87, 9049.52 points on a scaleStandard Error 0.87
EszopicloneCoordination Score, as Assessed by the Linear Analogue Rating Scales9 hours post-dose, n=89, 87, 9050.38 points on a scaleStandard Error 0.95
EszopicloneCoordination Score, as Assessed by the Linear Analogue Rating Scales9.5 hours post-dose, n=89, 87, 9049.42 points on a scaleStandard Error 0.98
EszopicloneCoordination Score, as Assessed by the Linear Analogue Rating Scales10 hours post-dose, n=89, 87, 9049.72 points on a scaleStandard Error 0.97
EszopicloneCoordination Score, as Assessed by the Linear Analogue Rating Scales10.5 hours post-dose, n=89, 87, 9050.68 points on a scaleStandard Error 0.87
EszopicloneCoordination Score, as Assessed by the Linear Analogue Rating Scales11.5 hours post-dose, n=89, 87, 9047.45 points on a scaleStandard Error 0.83
ZopicloneCoordination Score, as Assessed by the Linear Analogue Rating Scales10 hours post-dose, n=89, 87, 9050.27 points on a scaleStandard Error 0.95
ZopicloneCoordination Score, as Assessed by the Linear Analogue Rating Scales8.5 hours post-dose, n=89, 87, 9051.76 points on a scaleStandard Error 0.86
ZopicloneCoordination Score, as Assessed by the Linear Analogue Rating Scales11.5 hours post-dose, n=89, 87, 9049.82 points on a scaleStandard Error 0.81
ZopicloneCoordination Score, as Assessed by the Linear Analogue Rating Scales10.5 hours post-dose, n=89, 87, 9050.40 points on a scaleStandard Error 0.86
ZopicloneCoordination Score, as Assessed by the Linear Analogue Rating Scales8 hours post-dose, n=89, 87, 9052.10 points on a scaleStandard Error 0.92
ZopicloneCoordination Score, as Assessed by the Linear Analogue Rating Scales11 hours post-dose, n=89, 87, 9049.96 points on a scaleStandard Error 0.83
ZopicloneCoordination Score, as Assessed by the Linear Analogue Rating Scales9.5 hours post-dose, n=89, 87, 9051.41 points on a scaleStandard Error 0.96
ZopicloneCoordination Score, as Assessed by the Linear Analogue Rating Scales9 hours post-dose, n=89, 87, 9050.41 points on a scaleStandard Error 0.94
ZopicloneCoordination Score, as Assessed by the Linear Analogue Rating Scales7.5 hours post-dose, n=89, 87, 9052.42 points on a scaleStandard Error 1.13
Secondary

Critical Flicker Fusion Test-Ascending Threshold

Critical Flicker Fusion (CFF) is a validated cognitive assessment task that provides an index of central nervous system (CNS) activity and attention modulated motion detection. Participants are required to discriminate flicker from fusion, and vice versa, in a set of four light-emitting diodes arranged in a one-centimetre square. These diodes are held in foveal fixation when viewed at a distance of one metre. Individual thresholds are determined on four ascending and four descending scales. The mean of the four ascending presentations give the ascending threshold frequency in hertz.

Time frame: 7.5, 8, 8.5, 9, 9.5, 10, 10.5, 11, and 11.5 hours post-dose (double-blind)

Population: Intent-to-Treat (ITT) Population: all participants who gave informed consent, were randomised, and received at least one dose of double-blind study medication. Only participants who had assessment of the measure the day after double-blind treatment were analyzed.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboCritical Flicker Fusion Test-Ascending Threshold9 hours post-dose, n=89, 87, 9030.10 hertzStandard Error 0.23
PlaceboCritical Flicker Fusion Test-Ascending Threshold11.5 hours post-dose, n=89, 87, 9030.31 hertzStandard Error 0.22
PlaceboCritical Flicker Fusion Test-Ascending Threshold10 hours post-dose, n=89, 87, 9030.20 hertzStandard Error 0.24
PlaceboCritical Flicker Fusion Test-Ascending Threshold9.5 hours post-dose, n=89, 87, 9030.18 hertzStandard Error 0.23
PlaceboCritical Flicker Fusion Test-Ascending Threshold7.5 hours post-dose, n=88, 87, 9030.65 hertzStandard Error 0.24
PlaceboCritical Flicker Fusion Test-Ascending Threshold11 hours post-dose, n=89, 87, 9030.20 hertzStandard Error 0.23
PlaceboCritical Flicker Fusion Test-Ascending Threshold8.5 hours post-dose, n=89, 87, 9030.27 hertzStandard Error 0.22
PlaceboCritical Flicker Fusion Test-Ascending Threshold8 hours post-dose, n=89, 87, 9030.31 hertzStandard Error 0.24
PlaceboCritical Flicker Fusion Test-Ascending Threshold10.5 hours post-dose, n=89, 87, 8930.26 hertzStandard Error 0.21
EszopicloneCritical Flicker Fusion Test-Ascending Threshold9.5 hours post-dose, n=89, 87, 9029.99 hertzStandard Error 0.23
EszopicloneCritical Flicker Fusion Test-Ascending Threshold7.5 hours post-dose, n=88, 87, 9030.84 hertzStandard Error 0.24
EszopicloneCritical Flicker Fusion Test-Ascending Threshold8 hours post-dose, n=89, 87, 9030.30 hertzStandard Error 0.24
EszopicloneCritical Flicker Fusion Test-Ascending Threshold8.5 hours post-dose, n=89, 87, 9029.98 hertzStandard Error 0.22
EszopicloneCritical Flicker Fusion Test-Ascending Threshold9 hours post-dose, n=89, 87, 9029.90 hertzStandard Error 0.23
EszopicloneCritical Flicker Fusion Test-Ascending Threshold10 hours post-dose, n=89, 87, 9029.91 hertzStandard Error 0.24
EszopicloneCritical Flicker Fusion Test-Ascending Threshold10.5 hours post-dose, n=89, 87, 8929.99 hertzStandard Error 0.22
EszopicloneCritical Flicker Fusion Test-Ascending Threshold11 hours post-dose, n=89, 87, 9030.06 hertzStandard Error 0.23
EszopicloneCritical Flicker Fusion Test-Ascending Threshold11.5 hours post-dose, n=89, 87, 9030.28 hertzStandard Error 0.23
ZopicloneCritical Flicker Fusion Test-Ascending Threshold8.5 hours post-dose, n=89, 87, 9030.17 hertzStandard Error 0.22
ZopicloneCritical Flicker Fusion Test-Ascending Threshold7.5 hours post-dose, n=88, 87, 9030.93 hertzStandard Error 0.24
ZopicloneCritical Flicker Fusion Test-Ascending Threshold10.5 hours post-dose, n=89, 87, 8930.16 hertzStandard Error 0.21
ZopicloneCritical Flicker Fusion Test-Ascending Threshold8 hours post-dose, n=89, 87, 9030.41 hertzStandard Error 0.24
ZopicloneCritical Flicker Fusion Test-Ascending Threshold11.5 hours post-dose, n=89, 87, 9030.56 hertzStandard Error 0.22
ZopicloneCritical Flicker Fusion Test-Ascending Threshold9.5 hours post-dose, n=89, 87, 9030.05 hertzStandard Error 0.23
ZopicloneCritical Flicker Fusion Test-Ascending Threshold9 hours post-dose, n=89, 87, 9030.00 hertzStandard Error 0.23
ZopicloneCritical Flicker Fusion Test-Ascending Threshold11 hours post-dose, n=89, 87, 9030.04 hertzStandard Error 0.23
ZopicloneCritical Flicker Fusion Test-Ascending Threshold10 hours post-dose, n=89, 87, 9029.97 hertzStandard Error 0.23
Secondary

Critical Flicker Fusion Test -Descending Threshold

Analysis was performed on the individual assessments conducted at 7.5, 8, 8.5, 9, 9.5, 10, 10.5, 11, and 11.5 hours post-dose (double-blind) The mean of the four descending presentations from the CFF give the descending threshold frequency in hertz.

Time frame: 7.5, 8, 8.5, 9, 9.5, 10, 10.5, 11, and 11.5 hours post-dose (double-blind)

Population: Intent-to-Treat (ITT) Population: all participants who gave informed consent, were randomised, and received at least one dose of double-blind study medication.Only participants who had assessment of the measure the day after double-blind treatment were analyzed.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboCritical Flicker Fusion Test -Descending Threshold9 hours post-dose, n=89, 87, 9028.07 hertzStandard Error 0.34
PlaceboCritical Flicker Fusion Test -Descending Threshold11.5 hours post-dose, n=89, 87, 9028.57 hertzStandard Error 0.33
PlaceboCritical Flicker Fusion Test -Descending Threshold10 hours post-dose, n=89, 87, 9028.18 hertzStandard Error 0.34
PlaceboCritical Flicker Fusion Test -Descending Threshold9.5 hours post-dose, n=89, 87, 9028.19 hertzStandard Error 0.34
PlaceboCritical Flicker Fusion Test -Descending Threshold7.5 hours post-dose, n=88, 87, 9029.06 hertzStandard Error 0.35
PlaceboCritical Flicker Fusion Test -Descending Threshold11 hours post-dose, n=89, 87, 9028.53 hertzStandard Error 0.34
PlaceboCritical Flicker Fusion Test -Descending Threshold8.5 hours post-dose, n=89, 87, 9028.42 hertzStandard Error 0.34
PlaceboCritical Flicker Fusion Test -Descending Threshold8 hours post-dose, n=89, 87, 9028.52 hertzStandard Error 0.33
PlaceboCritical Flicker Fusion Test -Descending Threshold10.5 hours post-dose, n=89, 87, 8928.48 hertzStandard Error 0.34
EszopicloneCritical Flicker Fusion Test -Descending Threshold9.5 hours post-dose, n=89, 87, 9027.81 hertzStandard Error 0.35
EszopicloneCritical Flicker Fusion Test -Descending Threshold7.5 hours post-dose, n=88, 87, 9028.37 hertzStandard Error 0.35
EszopicloneCritical Flicker Fusion Test -Descending Threshold8 hours post-dose, n=89, 87, 9027.95 hertzStandard Error 0.33
EszopicloneCritical Flicker Fusion Test -Descending Threshold8.5 hours post-dose, n=89, 87, 9027.75 hertzStandard Error 0.35
EszopicloneCritical Flicker Fusion Test -Descending Threshold9 hours post-dose, n=89, 87, 9027.64 hertzStandard Error 0.35
EszopicloneCritical Flicker Fusion Test -Descending Threshold10 hours post-dose, n=89, 87, 9027.96 hertzStandard Error 0.34
EszopicloneCritical Flicker Fusion Test -Descending Threshold10.5 hours post-dose, n=89, 87, 8927.99 hertzStandard Error 0.34
EszopicloneCritical Flicker Fusion Test -Descending Threshold11 hours post-dose, n=89, 87, 9028.03 hertzStandard Error 0.34
EszopicloneCritical Flicker Fusion Test -Descending Threshold11.5 hours post-dose, n=89, 87, 9028.69 hertzStandard Error 0.34
ZopicloneCritical Flicker Fusion Test -Descending Threshold8.5 hours post-dose, n=89, 87, 9027.59 hertzStandard Error 0.34
ZopicloneCritical Flicker Fusion Test -Descending Threshold7.5 hours post-dose, n=88, 87, 9028.05 hertzStandard Error 0.35
ZopicloneCritical Flicker Fusion Test -Descending Threshold10.5 hours post-dose, n=89, 87, 8928.10 hertzStandard Error 0.34
ZopicloneCritical Flicker Fusion Test -Descending Threshold8 hours post-dose, n=89, 87, 9027.95 hertzStandard Error 0.33
ZopicloneCritical Flicker Fusion Test -Descending Threshold11.5 hours post-dose, n=89, 87, 9028.48 hertzStandard Error 0.33
ZopicloneCritical Flicker Fusion Test -Descending Threshold9.5 hours post-dose, n=89, 87, 9027.75 hertzStandard Error 0.34
ZopicloneCritical Flicker Fusion Test -Descending Threshold9 hours post-dose, n=89, 87, 9027.89 hertzStandard Error 0.34
ZopicloneCritical Flicker Fusion Test -Descending Threshold11 hours post-dose, n=89, 87, 9028.20 hertzStandard Error 0.34
ZopicloneCritical Flicker Fusion Test -Descending Threshold10 hours post-dose, n=89, 87, 9028.06 hertzStandard Error 0.34
Secondary

Critical Flicker Fusion Test-Overall Threshold

Analysis was performed on the individual assessments conducted at 7.5, 8, 8.5, 9, 9.5, 10, 10.5, 11, and 11.5 hours post-dose (double-blind) The mean of the four ascending and four descending presentations of the CFF give the overall threshold frequency in hertz.

Time frame: 7.5, 8, 8.5, 9, 9.5, 10, 10.5, 11, and 11.5 hours post-dose (double-blind)

Population: Intent-to-Treat (ITT) Population: all participants who gave informed consent, were randomised, and received at least one dose of double-blind study medication. Only participants who had assessment of the measure the day after double-blind treatment were analyzed.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboCritical Flicker Fusion Test-Overall Threshold10.5 hours post-dose, n=89, 87, 8929.38 hertzStandard Error 0.24
PlaceboCritical Flicker Fusion Test-Overall Threshold7.5 hours post-dose, n=88, 87, 9029.82 hertzStandard Error 0.26
PlaceboCritical Flicker Fusion Test-Overall Threshold8 hours post-dose, n=89, 87, 9029.41 hertzStandard Error 0.25
PlaceboCritical Flicker Fusion Test-Overall Threshold8.5 hours post-dose, n=89, 87, 9029.36 hertzStandard Error 0.25
PlaceboCritical Flicker Fusion Test-Overall Threshold9 hours post-dose, n=89, 87, 9029.10 hertzStandard Error 0.25
PlaceboCritical Flicker Fusion Test-Overall Threshold9.5 hours post-dose, n=89, 87, 9029.19 hertzStandard Error 0.25
PlaceboCritical Flicker Fusion Test-Overall Threshold10 hours post-dose, n=89, 87, 9029.20 hertzStandard Error 0.25
PlaceboCritical Flicker Fusion Test-Overall Threshold11 hours post-dose, n=89, 87, 9029.37 hertzStandard Error 0.25
PlaceboCritical Flicker Fusion Test-Overall Threshold11.5 hours post-dose, n=89, 87, 9029.46 hertzStandard Error 0.24
EszopicloneCritical Flicker Fusion Test-Overall Threshold9.5 hours post-dose, n=89, 87, 9028.90 hertzStandard Error 0.25
EszopicloneCritical Flicker Fusion Test-Overall Threshold10.5 hours post-dose, n=89, 87, 8929.00 hertzStandard Error 0.24
EszopicloneCritical Flicker Fusion Test-Overall Threshold7.5 hours post-dose, n=88, 87, 9029.57 hertzStandard Error 0.26
EszopicloneCritical Flicker Fusion Test-Overall Threshold11 hours post-dose, n=89, 87, 9029.07 hertzStandard Error 0.25
EszopicloneCritical Flicker Fusion Test-Overall Threshold9 hours post-dose, n=89, 87, 9028.79 hertzStandard Error 0.25
EszopicloneCritical Flicker Fusion Test-Overall Threshold8 hours post-dose, n=89, 87, 9029.11 hertzStandard Error 0.25
EszopicloneCritical Flicker Fusion Test-Overall Threshold10 hours post-dose, n=89, 87, 9028.95 hertzStandard Error 0.25
EszopicloneCritical Flicker Fusion Test-Overall Threshold11.5 hours post-dose, n=89, 87, 9029.50 hertzStandard Error 0.25
EszopicloneCritical Flicker Fusion Test-Overall Threshold8.5 hours post-dose, n=89, 87, 9028.86 hertzStandard Error 0.25
ZopicloneCritical Flicker Fusion Test-Overall Threshold10 hours post-dose, n=89, 87, 9029.02 hertzStandard Error 0.25
ZopicloneCritical Flicker Fusion Test-Overall Threshold9 hours post-dose, n=89, 87, 9028.96 hertzStandard Error 0.25
ZopicloneCritical Flicker Fusion Test-Overall Threshold11 hours post-dose, n=89, 87, 9029.14 hertzStandard Error 0.25
ZopicloneCritical Flicker Fusion Test-Overall Threshold9.5 hours post-dose, n=89, 87, 9028.90 hertzStandard Error 0.25
ZopicloneCritical Flicker Fusion Test-Overall Threshold11.5 hours post-dose, n=89, 87, 9029.53 hertzStandard Error 0.24
ZopicloneCritical Flicker Fusion Test-Overall Threshold8.5 hours post-dose, n=89, 87, 9028.88 hertzStandard Error 0.25
ZopicloneCritical Flicker Fusion Test-Overall Threshold7.5 hours post-dose, n=88, 87, 9029.45 hertzStandard Error 0.26
ZopicloneCritical Flicker Fusion Test-Overall Threshold10.5 hours post-dose, n=89, 87, 8929.14 hertzStandard Error 0.24
ZopicloneCritical Flicker Fusion Test-Overall Threshold8 hours post-dose, n=89, 87, 9029.00 hertzStandard Error 0.24
Secondary

CTT Mean Reaction Time

Analysis was performed on the individual assessments conducted at 7.5, 8, 8.5, 9, 9.5, 10, 10.5, 11, and 11.5 hours post-dose (double-blind) A further outcome derived from the CTT is a peripheral awareness task where the participant responds to a stimulus presented in the periphery of vision, while simultaneously attending to the tracking test. The mean reaction time, in milliseconds, to these stimuli over the trial period is taken as the response measure for this component of the divided attention task. A lower mean reaction time is indicative of better peripheral awareness.

Time frame: 7.5, 8, 8.5, 9, 9.5, 10, 10.5, 11, and 11.5 hours post-dose (double-blind)

Population: Intent-to-Treat (ITT) Population: all participants who gave informed consent, were randomised, and received at least one dose of double-blind study medication.Only participants who had assessment of the measure the day after double-blind treatment were analyzed.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboCTT Mean Reaction Time10.5 hours post-dose, n=89, 87, 90765.98 millisecondsStandard Error 10.55
PlaceboCTT Mean Reaction Time9 hours post-dose, n=89, 87, 90760.11 millisecondsStandard Error 10.75
PlaceboCTT Mean Reaction Time8 hours post-dose, n=88, 87, 90744.90 millisecondsStandard Error 10.44
PlaceboCTT Mean Reaction Time10 hours post-dose, n=89, 87, 90756.67 millisecondsStandard Error 10.54
PlaceboCTT Mean Reaction Time9.5 hours post-dose, n=89, 87, 90763.65 millisecondsStandard Error 10.17
PlaceboCTT Mean Reaction Time7.5 hours post-dose, n=89, 87, 90746.88 millisecondsStandard Error 10.36
PlaceboCTT Mean Reaction Time11 hours post-dose, n=89, 87, 90762.43 millisecondsStandard Error 9.88
PlaceboCTT Mean Reaction Time8.5 hours post-dose, n=89, 87, 90757.72 millisecondsStandard Error 10.44
PlaceboCTT Mean Reaction Time11.5 hours post-dose, n=89, 87, 90745.26 millisecondsStandard Error 9.48
EszopicloneCTT Mean Reaction Time11.5 hours post-dose, n=89, 87, 90750.79 millisecondsStandard Error 9.52
EszopicloneCTT Mean Reaction Time7.5 hours post-dose, n=89, 87, 90791.99 millisecondsStandard Error 10.4
EszopicloneCTT Mean Reaction Time8 hours post-dose, n=88, 87, 90787.41 millisecondsStandard Error 10.5
EszopicloneCTT Mean Reaction Time8.5 hours post-dose, n=89, 87, 90793.18 millisecondsStandard Error 10.51
EszopicloneCTT Mean Reaction Time9 hours post-dose, n=89, 87, 90802.53 millisecondsStandard Error 10.81
EszopicloneCTT Mean Reaction Time9.5 hours post-dose, n=89, 87, 90793.69 millisecondsStandard Error 10.23
EszopicloneCTT Mean Reaction Time10 hours post-dose, n=89, 87, 90778.09 millisecondsStandard Error 10.6
EszopicloneCTT Mean Reaction Time10.5 hours post-dose, n=89, 87, 90774.06 millisecondsStandard Error 10.59
EszopicloneCTT Mean Reaction Time11 hours post-dose, n=89, 87, 90760.29 millisecondsStandard Error 9.95
ZopicloneCTT Mean Reaction Time10 hours post-dose, n=89, 87, 90792.00 millisecondsStandard Error 10.48
ZopicloneCTT Mean Reaction Time8.5 hours post-dose, n=89, 87, 90797.92 millisecondsStandard Error 10.39
ZopicloneCTT Mean Reaction Time7.5 hours post-dose, n=89, 87, 90806.31 millisecondsStandard Error 10.33
ZopicloneCTT Mean Reaction Time10.5 hours post-dose, n=89, 87, 90779.80 millisecondsStandard Error 10.51
ZopicloneCTT Mean Reaction Time8 hours post-dose, n=88, 87, 90799.53 millisecondsStandard Error 10.4
ZopicloneCTT Mean Reaction Time11.5 hours post-dose, n=89, 87, 90766.44 millisecondsStandard Error 9.44
ZopicloneCTT Mean Reaction Time9.5 hours post-dose, n=89, 87, 90789.63 millisecondsStandard Error 10.13
ZopicloneCTT Mean Reaction Time9 hours post-dose, n=89, 87, 90811.11 millisecondsStandard Error 10.69
ZopicloneCTT Mean Reaction Time11 hours post-dose, n=89, 87, 90765.56 millisecondsStandard Error 9.85
Secondary

Mean Tracking Error (MTE) Assessed During the CTT

Analysis was performed on the individual assessments conducted at 7.5, 8, 8.5, 9, 9.5, 10, 10.5, 11, and 11.5 hours post-dose (double-blind) . The CTT is a task (8 minute duration) of psychomotor function that entails using a slider to keep a cursor in alignment with a moving target on a visual display unit screen. The movement of the target is the function of an irregular sine wave, and cursor accuracy is measured by the MTE, the difference between the centers of target and cursor in pixels, sampled 5 times per second, over the test. Lower scores are indicative of more accurate tracking.

Time frame: 7.5, 8, 8.5, 9, 9.5, 10, 10.5, 11, and 11.5 hours post-dose (double-blind)

Population: Intent-to-Treat (ITT) Population: all participants who gave informed consent, were randomised, and received at least one dose of double-blind study medication. Only participants who had assessment of the measure the day after double-blind treatment were analyzed.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboMean Tracking Error (MTE) Assessed During the CTT9 hours post-dose11.02 pixelsStandard Error 0.214
PlaceboMean Tracking Error (MTE) Assessed During the CTT11.5 hours post-dose9.18 pixelsStandard Error 0.523
PlaceboMean Tracking Error (MTE) Assessed During the CTT10 hours post-dose10.12 pixelsStandard Error 1.057
PlaceboMean Tracking Error (MTE) Assessed During the CTT9.5 hours post-dose10.44 pixelsStandard Error 1.108
PlaceboMean Tracking Error (MTE) Assessed During the CTT7.5 hours post-dose10.20 pixelsStandard Error 0.596
PlaceboMean Tracking Error (MTE) Assessed During the CTT11 hours post-dose10.55 pixelsStandard Error 0.822
PlaceboMean Tracking Error (MTE) Assessed During the CTT8.5 hours post-dose10.08 pixelsStandard Error 0.917
PlaceboMean Tracking Error (MTE) Assessed During the CTT8 hours post-dose9.70 pixelsStandard Error 0.83
PlaceboMean Tracking Error (MTE) Assessed During the CTT10.5 hours post-dose9.48 pixelsStandard Error 0.757
EszopicloneMean Tracking Error (MTE) Assessed During the CTT9.5 hours post-dose13.50 pixelsStandard Error 1.121
EszopicloneMean Tracking Error (MTE) Assessed During the CTT7.5 hours post-dose12.80 pixelsStandard Error 0.602
EszopicloneMean Tracking Error (MTE) Assessed During the CTT8 hours post-dose12.72 pixelsStandard Error 0.84
EszopicloneMean Tracking Error (MTE) Assessed During the CTT8.5 hours post-dose12.54 pixelsStandard Error 0.928
EszopicloneMean Tracking Error (MTE) Assessed During the CTT9 hours post-dose13.00 pixelsStandard Error 1.229
EszopicloneMean Tracking Error (MTE) Assessed During the CTT10 hours post-dose12.85 pixelsStandard Error 1.069
EszopicloneMean Tracking Error (MTE) Assessed During the CTT10.5 hours post-dose11.38 pixelsStandard Error 0.767
EszopicloneMean Tracking Error (MTE) Assessed During the CTT11 hours post-dose10.86 pixelsStandard Error 0.833
EszopicloneMean Tracking Error (MTE) Assessed During the CTT11.5 hours post-dose10.06 pixelsStandard Error 0.53
ZopicloneMean Tracking Error (MTE) Assessed During the CTT8.5 hours post-dose12.93 pixelsStandard Error 0.913
ZopicloneMean Tracking Error (MTE) Assessed During the CTT7.5 hours post-dose13.07 pixelsStandard Error 0.592
ZopicloneMean Tracking Error (MTE) Assessed During the CTT10.5 hours post-dose11.84 pixelsStandard Error 0.753
ZopicloneMean Tracking Error (MTE) Assessed During the CTT8 hours post-dose13.15 pixelsStandard Error 0.826
ZopicloneMean Tracking Error (MTE) Assessed During the CTT11.5 hours post-dose10.30 pixelsStandard Error 0.521
ZopicloneMean Tracking Error (MTE) Assessed During the CTT9.5 hours post-dose13.55 pixelsStandard Error 1.101
ZopicloneMean Tracking Error (MTE) Assessed During the CTT9 hours post-dose14.81 pixelsStandard Error 1.208
ZopicloneMean Tracking Error (MTE) Assessed During the CTT11 hours post-dose11.65 pixelsStandard Error 0.818
ZopicloneMean Tracking Error (MTE) Assessed During the CTT10 hours post-dose12.53 pixelsStandard Error 1.051
Secondary

Mood Score, as Assessed by the Linear Analogue Rating Scales

Analysis was performed on the individual assessments conducted at 7.5, 8, 8.5, 9, 9.5, 10, 10.5, 11, and 11.5 hours post-dose (double-blind). The Anxiety, Depression, Relaxed, and Sadness scores are averaged to derive an overall Mood score (as described in Outcome Measure 14). Each item was assessed on a 1-100 point scale, where 100 indicates most impaired.

Time frame: 7.5, 8, 8.5, 9, 9.5, 10, 10.5, 11, and 11.5 hours post-dose (double-blind)

Population: Intent-to-Treat (ITT) Population: all participants who gave informed consent, were randomised, and received at least one dose of double-blind study medication. Only participants who had assessment of the measure the day after double-blind treatment were analyzed.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboMood Score, as Assessed by the Linear Analogue Rating Scales9 hours post-dose, n=89, 87, 9048.48 points on a scaleStandard Error 0.74
PlaceboMood Score, as Assessed by the Linear Analogue Rating Scales11.5 hours post-dose, n=89, 87, 9045.63 points on a scaleStandard Error 1.03
PlaceboMood Score, as Assessed by the Linear Analogue Rating Scales10 hours post-dose, n=89, 87, 9047.98 points on a scaleStandard Error 0.79
PlaceboMood Score, as Assessed by the Linear Analogue Rating Scales9.5 hours post-dose, n=89, 87, 9048.30 points on a scaleStandard Error 0.75
PlaceboMood Score, as Assessed by the Linear Analogue Rating Scales8 hours post-dose, n=89, 87, 9049.19 points on a scaleStandard Error 0.71
PlaceboMood Score, as Assessed by the Linear Analogue Rating Scales7.5 hours post-dose, n=89, 87, 9047.75 points on a scaleStandard Error 0.71
PlaceboMood Score, as Assessed by the Linear Analogue Rating Scales11 hours post-dose, n=89, 87, 9047.45 points on a scaleStandard Error 0.85
PlaceboMood Score, as Assessed by the Linear Analogue Rating Scales8.5 hours post-dose, n=89, 87, 9048.88 points on a scaleStandard Error 0.7
PlaceboMood Score, as Assessed by the Linear Analogue Rating Scales10.5 hours post-dose, n=89, 87, 9047.57 points on a scaleStandard Error 0.87
EszopicloneMood Score, as Assessed by the Linear Analogue Rating Scales8.5 hours post-dose, n=89, 87, 9048.42 points on a scaleStandard Error 0.7
EszopicloneMood Score, as Assessed by the Linear Analogue Rating Scales7.5 hours post-dose, n=89, 87, 9048.13 points on a scaleStandard Error 0.72
EszopicloneMood Score, as Assessed by the Linear Analogue Rating Scales8 hours post-dose, n=89, 87, 9048.42 points on a scaleStandard Error 0.71
EszopicloneMood Score, as Assessed by the Linear Analogue Rating Scales9 hours post-dose, n=89, 87, 9047.67 points on a scaleStandard Error 0.75
EszopicloneMood Score, as Assessed by the Linear Analogue Rating Scales9.5 hours post-dose, n=89, 87, 9047.89 points on a scaleStandard Error 0.76
EszopicloneMood Score, as Assessed by the Linear Analogue Rating Scales10 hours post-dose, n=89, 87, 9048.25 points on a scaleStandard Error 0.79
EszopicloneMood Score, as Assessed by the Linear Analogue Rating Scales10.5 hours post-dose, n=89, 87, 9048.72 points on a scaleStandard Error 0.88
EszopicloneMood Score, as Assessed by the Linear Analogue Rating Scales11 hours post-dose, n=89, 87, 9047.07 points on a scaleStandard Error 0.86
EszopicloneMood Score, as Assessed by the Linear Analogue Rating Scales11.5 hours post-dose, n=89, 87, 9047.09 points on a scaleStandard Error 1.4
ZopicloneMood Score, as Assessed by the Linear Analogue Rating Scales8.5 hours post-dose, n=89, 87, 9048.30 points on a scaleStandard Error 0.69
ZopicloneMood Score, as Assessed by the Linear Analogue Rating Scales7.5 hours post-dose, n=89, 87, 9048.03 points on a scaleStandard Error 0.71
ZopicloneMood Score, as Assessed by the Linear Analogue Rating Scales10.5 hours post-dose, n=89, 87, 9048.47 points on a scaleStandard Error 0.87
ZopicloneMood Score, as Assessed by the Linear Analogue Rating Scales8 hours post-dose, n=89, 87, 9049.11 points on a scaleStandard Error 0.7
ZopicloneMood Score, as Assessed by the Linear Analogue Rating Scales11.5 hours post-dose, n=89, 87, 9046.08 points on a scaleStandard Error 1.03
ZopicloneMood Score, as Assessed by the Linear Analogue Rating Scales9.5 hours post-dose, n=89, 87, 9047.54 points on a scaleStandard Error 0.75
ZopicloneMood Score, as Assessed by the Linear Analogue Rating Scales9 hours post-dose, n=89, 87, 9048.61 points on a scaleStandard Error 0.74
ZopicloneMood Score, as Assessed by the Linear Analogue Rating Scales11 hours post-dose, n=89, 87, 9047.90 points on a scaleStandard Error 0.85
ZopicloneMood Score, as Assessed by the Linear Analogue Rating Scales10 hours post-dose, n=89, 87, 9048.28 points on a scaleStandard Error 0.78
Secondary

Sedation Score, as Assessed by the Linear Analogue Rating Scales

The Linear Analogue Rating Scale (LARS) is used as a measure of the subjective effects of psychoactive drugs. Participants mark a series of 10 cm (100 unit line) analogue scales (1-100, 100 = most impaired) relating to dizzy, clumsy, anxious, relaxed, tired, drowsy, alert, energetic, sad, and depressed, indicating their present feeling with regard to a mid-point, representing their usual state of mind before treatment began. The higher the score, the more impaired the participant feels. The Tiredness, Alertness, Energy, and Drowsiness scores are averaged to derive an overall Sedation score.

Time frame: 7.5, 8, 8.5, 9, 9.5, 10, 10.5, 11, and 11.5 hours post-dose (double-blind)

Population: Intent-to-Treat (ITT) Population: all participants who gave informed consent, were randomised, and received at least one dose of double-blind study medication. Only participants who had assessment of the measure the day after double-blind treatment were analyzed.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboSedation Score, as Assessed by the Linear Analogue Rating Scales9 hours post-dose, n=89, 87, 9053.63 points on a scaleStandard Error 1.12
PlaceboSedation Score, as Assessed by the Linear Analogue Rating Scales11.5 hours post-dose, n=89, 87, 9049.02 points on a scaleStandard Error 1.21
PlaceboSedation Score, as Assessed by the Linear Analogue Rating Scales10 hours post-dose, n=89, 87, 9053.98 points on a scaleStandard Error 1.21
PlaceboSedation Score, as Assessed by the Linear Analogue Rating Scales9.5 hours post-dose, n=89, 87, 9053.84 points on a scaleStandard Error 1.14
PlaceboSedation Score, as Assessed by the Linear Analogue Rating Scales7.5 hours post-dose, n=89, 87, 9054.21 points on a scaleStandard Error 1.15
PlaceboSedation Score, as Assessed by the Linear Analogue Rating Scales11 hours post-dose, n=89, 87, 9051.47 points on a scaleStandard Error 1.06
PlaceboSedation Score, as Assessed by the Linear Analogue Rating Scales8.5 hours post-dose, n=89, 87, 9054.07 points on a scaleStandard Error 1.18
PlaceboSedation Score, as Assessed by the Linear Analogue Rating Scales8 hours post-dose, n=89, 87, 9054.54 points on a scaleStandard Error 1.37
PlaceboSedation Score, as Assessed by the Linear Analogue Rating Scales10.5 hours post-dose, n=89, 87, 9051.77 points on a scaleStandard Error 1.21
EszopicloneSedation Score, as Assessed by the Linear Analogue Rating Scales9.5 hours post-dose, n=89, 87, 9055.39 points on a scaleStandard Error 1.15
EszopicloneSedation Score, as Assessed by the Linear Analogue Rating Scales7.5 hours post-dose, n=89, 87, 9054.87 points on a scaleStandard Error 1.16
EszopicloneSedation Score, as Assessed by the Linear Analogue Rating Scales8 hours post-dose, n=89, 87, 9056.40 points on a scaleStandard Error 1.15
EszopicloneSedation Score, as Assessed by the Linear Analogue Rating Scales8.5 hours post-dose, n=89, 87, 9054.39 points on a scaleStandard Error 1.19
EszopicloneSedation Score, as Assessed by the Linear Analogue Rating Scales9 hours post-dose, n=89, 87, 9054.93 points on a scaleStandard Error 1.12
EszopicloneSedation Score, as Assessed by the Linear Analogue Rating Scales10 hours post-dose, n=89, 87, 9054.68 points on a scaleStandard Error 1.23
EszopicloneSedation Score, as Assessed by the Linear Analogue Rating Scales10.5 hours post-dose, n=89, 87, 9053.77 points on a scaleStandard Error 1.13
EszopicloneSedation Score, as Assessed by the Linear Analogue Rating Scales11 hours post-dose, n=89, 87, 9051.49 points on a scaleStandard Error 1.06
EszopicloneSedation Score, as Assessed by the Linear Analogue Rating Scales11.5 hours post-dose, n=89, 87, 9049.41 points on a scaleStandard Error 1.22
ZopicloneSedation Score, as Assessed by the Linear Analogue Rating Scales8.5 hours post-dose, n=89, 87, 9056.93 points on a scaleStandard Error 1.18
ZopicloneSedation Score, as Assessed by the Linear Analogue Rating Scales7.5 hours post-dose, n=89, 87, 9057.00 points on a scaleStandard Error 1.14
ZopicloneSedation Score, as Assessed by the Linear Analogue Rating Scales10.5 hours post-dose, n=89, 87, 9055.31 points on a scaleStandard Error 1.12
ZopicloneSedation Score, as Assessed by the Linear Analogue Rating Scales8 hours post-dose, n=89, 87, 9059.21 points on a scaleStandard Error 1.13
ZopicloneSedation Score, as Assessed by the Linear Analogue Rating Scales11.5 hours post-dose, n=89, 87, 9051.24 points on a scaleStandard Error 1.2
ZopicloneSedation Score, as Assessed by the Linear Analogue Rating Scales9.5 hours post-dose, n=89, 87, 9055.90 points on a scaleStandard Error 1.13
ZopicloneSedation Score, as Assessed by the Linear Analogue Rating Scales9 hours post-dose, n=89, 87, 9056.01 points on a scaleStandard Error 1.1
ZopicloneSedation Score, as Assessed by the Linear Analogue Rating Scales11 hours post-dose, n=89, 87, 9052.79 points on a scaleStandard Error 1.05
ZopicloneSedation Score, as Assessed by the Linear Analogue Rating Scales10 hours post-dose, n=89, 87, 9055.73 points on a scaleStandard Error 1.21
Secondary

Total Number of Attempted Symbol Substitutions, as Assessed by the Digit Symbol Substitution Test

Analysis was performed on the individual assessments conducted at 7.5, 8, 8.5, 9, 9.5, 10, 10.5, 11, and 11.5 hours post-dose (double-blind). The Digit Symbol Substitution Test (DSST) is a pen and paper test that consists of rows of blank squares paired with randomly assigned digits (between 0 and 9). Participants are required to substitute each digit with a different nonsense symbol, according to a key printed at the top of the sheet that indicates the nonsense symbol that corresponds to each digit. Participants are given 120 seconds in which to complete the test.

Time frame: 7.5, 8, 8.5, 9, 9.5, 10, 10.5, 11, and 11.5 hours post-dose (double-blind)

Population: Intent-to-Treat (ITT) Population: all participants who gave informed consent, were randomised, and received at least one dose of double-blind study medication. Only participants who had assessment of the measure the day after double-blind treatment were analyzed.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboTotal Number of Attempted Symbol Substitutions, as Assessed by the Digit Symbol Substitution Test9 hours post-dose, n=88, 87, 9068.1 number of substitutionsStandard Error 1.2
PlaceboTotal Number of Attempted Symbol Substitutions, as Assessed by the Digit Symbol Substitution Test11.5 hours post-dose, n=89, 87, 9069.0 number of substitutionsStandard Error 1.16
PlaceboTotal Number of Attempted Symbol Substitutions, as Assessed by the Digit Symbol Substitution Test10 hours post-dose, n=89, 87, 9070.9 number of substitutionsStandard Error 1.14
PlaceboTotal Number of Attempted Symbol Substitutions, as Assessed by the Digit Symbol Substitution Test9.5 hours post-dose, n=88, 87, 9070.2 number of substitutionsStandard Error 1.12
PlaceboTotal Number of Attempted Symbol Substitutions, as Assessed by the Digit Symbol Substitution Test7.5 hours post-dose, n=89, 87, 9068.2 number of substitutionsStandard Error 1.09
PlaceboTotal Number of Attempted Symbol Substitutions, as Assessed by the Digit Symbol Substitution Test11 hours post-dose, n=88, 87, 9070.9 number of substitutionsStandard Error 1.11
PlaceboTotal Number of Attempted Symbol Substitutions, as Assessed by the Digit Symbol Substitution Test8.5 hours post-dose, n=89, 87, 9070.6 number of substitutionsStandard Error 1.13
PlaceboTotal Number of Attempted Symbol Substitutions, as Assessed by the Digit Symbol Substitution Test8 hours post-dose, n=87, 84, 8870.4 number of substitutionsStandard Error 1.16
PlaceboTotal Number of Attempted Symbol Substitutions, as Assessed by the Digit Symbol Substitution Test10.5 hours post-dose, n=86, 85, 8871.8 number of substitutionsStandard Error 1.16
EszopicloneTotal Number of Attempted Symbol Substitutions, as Assessed by the Digit Symbol Substitution Test9.5 hours post-dose, n=88, 87, 9067.2 number of substitutionsStandard Error 1.13
EszopicloneTotal Number of Attempted Symbol Substitutions, as Assessed by the Digit Symbol Substitution Test7.5 hours post-dose, n=89, 87, 9064.7 number of substitutionsStandard Error 1.1
EszopicloneTotal Number of Attempted Symbol Substitutions, as Assessed by the Digit Symbol Substitution Test8 hours post-dose, n=87, 84, 8866.5 number of substitutionsStandard Error 1.17
EszopicloneTotal Number of Attempted Symbol Substitutions, as Assessed by the Digit Symbol Substitution Test8.5 hours post-dose, n=89, 87, 9067.4 number of substitutionsStandard Error 1.13
EszopicloneTotal Number of Attempted Symbol Substitutions, as Assessed by the Digit Symbol Substitution Test9 hours post-dose, n=88, 87, 9065.2 number of substitutionsStandard Error 1.2
EszopicloneTotal Number of Attempted Symbol Substitutions, as Assessed by the Digit Symbol Substitution Test10 hours post-dose, n=89, 87, 9068.2 number of substitutionsStandard Error 1.14
EszopicloneTotal Number of Attempted Symbol Substitutions, as Assessed by the Digit Symbol Substitution Test10.5 hours post-dose, n=86, 85, 8869.7 number of substitutionsStandard Error 1.17
EszopicloneTotal Number of Attempted Symbol Substitutions, as Assessed by the Digit Symbol Substitution Test11 hours post-dose, n=88, 87, 9068.1 number of substitutionsStandard Error 1.11
EszopicloneTotal Number of Attempted Symbol Substitutions, as Assessed by the Digit Symbol Substitution Test11.5 hours post-dose, n=89, 87, 9068.0 number of substitutionsStandard Error 1.17
ZopicloneTotal Number of Attempted Symbol Substitutions, as Assessed by the Digit Symbol Substitution Test8.5 hours post-dose, n=89, 87, 9066.3 number of substitutionsStandard Error 1.12
ZopicloneTotal Number of Attempted Symbol Substitutions, as Assessed by the Digit Symbol Substitution Test7.5 hours post-dose, n=89, 87, 9063.4 number of substitutionsStandard Error 1.09
ZopicloneTotal Number of Attempted Symbol Substitutions, as Assessed by the Digit Symbol Substitution Test10.5 hours post-dose, n=86, 85, 8867.8 number of substitutionsStandard Error 1.16
ZopicloneTotal Number of Attempted Symbol Substitutions, as Assessed by the Digit Symbol Substitution Test8 hours post-dose, n=87, 84, 8865.6 number of substitutionsStandard Error 1.15
ZopicloneTotal Number of Attempted Symbol Substitutions, as Assessed by the Digit Symbol Substitution Test11.5 hours post-dose, n=89, 87, 9068.3 number of substitutionsStandard Error 1.16
ZopicloneTotal Number of Attempted Symbol Substitutions, as Assessed by the Digit Symbol Substitution Test9.5 hours post-dose, n=88, 87, 9066.5 number of substitutionsStandard Error 1.12
ZopicloneTotal Number of Attempted Symbol Substitutions, as Assessed by the Digit Symbol Substitution Test9 hours post-dose, n=88, 87, 9064.2 number of substitutionsStandard Error 1.19
ZopicloneTotal Number of Attempted Symbol Substitutions, as Assessed by the Digit Symbol Substitution Test11 hours post-dose, n=88, 87, 9067.6 number of substitutionsStandard Error 1.1
ZopicloneTotal Number of Attempted Symbol Substitutions, as Assessed by the Digit Symbol Substitution Test10 hours post-dose, n=89, 87, 9067.6 number of substitutionsStandard Error 1.13
Secondary

Total Number of Correct Symbol Substitutions, as Assessed by the Digital Symbol Substitution Test

Analysis was performed on the individual assessments conducted at 7.5, 8, 8.5, 9, 9.5, 10, 10.5, 11, and 11.5 hours post-dose (double-blind). The Digit Symbol Substitution Test (DSST) is a pen and paper test that consists of rows of blank squares paired with randomly assigned digits (between 0 and 9). Participants are required to substitute each digit with a different nonsense symbol, according to a key printed at the top of the sheet that indicates the nonsense symbol that corresponds to each digit. Participants are given 120 seconds in which to complete the test.

Time frame: 7.5, 8, 8.5, 9, 9.5, 10, 10.5, 11, and 11.5 hours post-dose (double-blind)

Population: Intent-to-Treat (ITT) Population: all participants who gave informed consent, were randomised, and received at least one dose of double-blind study medication. Only participants who had assessment of the measure the day after double-blind treatment were analyzed.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboTotal Number of Correct Symbol Substitutions, as Assessed by the Digital Symbol Substitution Test9 hours post-dose, n=88, 87, 9067.9 number of substitutionsStandard Error 1.2
PlaceboTotal Number of Correct Symbol Substitutions, as Assessed by the Digital Symbol Substitution Test11.5 hours post-dose, n=89, 87, 9068.7 number of substitutionsStandard Error 1.16
PlaceboTotal Number of Correct Symbol Substitutions, as Assessed by the Digital Symbol Substitution Test10 hours post-dose, n=89, 87, 9070.8 number of substitutionsStandard Error 1.14
PlaceboTotal Number of Correct Symbol Substitutions, as Assessed by the Digital Symbol Substitution Test9.5 hours post-dose, n=88, 87, 9069.9 number of substitutionsStandard Error 1.12
PlaceboTotal Number of Correct Symbol Substitutions, as Assessed by the Digital Symbol Substitution Test7.5 hours post-dose, n=89, 87, 9067.9 number of substitutionsStandard Error 1.1
PlaceboTotal Number of Correct Symbol Substitutions, as Assessed by the Digital Symbol Substitution Test11 hours post-dose, n=88, 87, 9070.6 number of substitutionsStandard Error 1.11
PlaceboTotal Number of Correct Symbol Substitutions, as Assessed by the Digital Symbol Substitution Test8.5 hours post-dose, n=89, 87, 9070.4 number of substitutionsStandard Error 1.13
PlaceboTotal Number of Correct Symbol Substitutions, as Assessed by the Digital Symbol Substitution Test8 hours post-dose, n=87, 84, 8870.2 number of substitutionsStandard Error 1.16
PlaceboTotal Number of Correct Symbol Substitutions, as Assessed by the Digital Symbol Substitution Test10.5 hours post-dose, n=86, 85, 8871.5 number of substitutionsStandard Error 1.17
EszopicloneTotal Number of Correct Symbol Substitutions, as Assessed by the Digital Symbol Substitution Test9.5 hours post-dose, n=88, 87, 9066.9 number of substitutionsStandard Error 1.13
EszopicloneTotal Number of Correct Symbol Substitutions, as Assessed by the Digital Symbol Substitution Test7.5 hours post-dose, n=89, 87, 9064.3 number of substitutionsStandard Error 1.1
EszopicloneTotal Number of Correct Symbol Substitutions, as Assessed by the Digital Symbol Substitution Test8 hours post-dose, n=87, 84, 8866.2 number of substitutionsStandard Error 1.17
EszopicloneTotal Number of Correct Symbol Substitutions, as Assessed by the Digital Symbol Substitution Test8.5 hours post-dose, n=89, 87, 9067.0 number of substitutionsStandard Error 1.14
EszopicloneTotal Number of Correct Symbol Substitutions, as Assessed by the Digital Symbol Substitution Test9 hours post-dose, n=88, 87, 9064.8 number of substitutionsStandard Error 1.21
EszopicloneTotal Number of Correct Symbol Substitutions, as Assessed by the Digital Symbol Substitution Test10 hours post-dose, n=89, 87, 9068.0 number of substitutionsStandard Error 1.15
EszopicloneTotal Number of Correct Symbol Substitutions, as Assessed by the Digital Symbol Substitution Test10.5 hours post-dose, n=86, 85, 8869.5 number of substitutionsStandard Error 1.17
EszopicloneTotal Number of Correct Symbol Substitutions, as Assessed by the Digital Symbol Substitution Test11 hours post-dose, n=88, 87, 9067.8 number of substitutionsStandard Error 1.11
EszopicloneTotal Number of Correct Symbol Substitutions, as Assessed by the Digital Symbol Substitution Test11.5 hours post-dose, n=89, 87, 9067.8 number of substitutionsStandard Error 1.17
ZopicloneTotal Number of Correct Symbol Substitutions, as Assessed by the Digital Symbol Substitution Test8.5 hours post-dose, n=89, 87, 9066.0 number of substitutionsStandard Error 1.13
ZopicloneTotal Number of Correct Symbol Substitutions, as Assessed by the Digital Symbol Substitution Test7.5 hours post-dose, n=89, 87, 9063.0 number of substitutionsStandard Error 1.1
ZopicloneTotal Number of Correct Symbol Substitutions, as Assessed by the Digital Symbol Substitution Test10.5 hours post-dose, n=86, 85, 8867.4 number of substitutionsStandard Error 1.16
ZopicloneTotal Number of Correct Symbol Substitutions, as Assessed by the Digital Symbol Substitution Test8 hours post-dose, n=87, 84, 8865.2 number of substitutionsStandard Error 1.16
ZopicloneTotal Number of Correct Symbol Substitutions, as Assessed by the Digital Symbol Substitution Test11.5 hours post-dose, n=89, 87, 9068.0 number of substitutionsStandard Error 1.12
ZopicloneTotal Number of Correct Symbol Substitutions, as Assessed by the Digital Symbol Substitution Test9.5 hours post-dose, n=88, 87, 9066.2 number of substitutionsStandard Error 1.12
ZopicloneTotal Number of Correct Symbol Substitutions, as Assessed by the Digital Symbol Substitution Test9 hours post-dose, n=88, 87, 9063.8 number of substitutionsStandard Error 1.2
ZopicloneTotal Number of Correct Symbol Substitutions, as Assessed by the Digital Symbol Substitution Test11 hours post-dose, n=88, 87, 9067.3 number of substitutionsStandard Error 1.1
ZopicloneTotal Number of Correct Symbol Substitutions, as Assessed by the Digital Symbol Substitution Test10 hours post-dose, n=89, 87, 9067.3 number of substitutionsStandard Error 1.14

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026